Individual
MS. AMANDA RAE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTL
Contact information
Practice address
812 N CHARLOTTE ST, DICKSON, TN 37055-1009
(615) 446-8046
(615) 441-3138
Mailing address
3560 HWY 47 EAST, BURNS, TN 37029
(615) 797-4290
(615) 441-3138
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
COTA1505
TN
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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